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针刺伤和锐器伤:埃及坦塔大学医院医护人员对这一全球性问题的认知、流行情况和危险因素。

Needle-stick and sharps injuries: awareness, prevalence and risk factors of a global problem in healthcare workers at Tanta University Hospitals, Egypt.

机构信息

Department of Urology.

Department of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University.

出版信息

Int J Occup Saf Ergon. 2022 Sep;28(3):1419-1429. doi: 10.1080/10803548.2021.1901445. Epub 2021 Apr 13.

DOI:10.1080/10803548.2021.1901445
PMID:33704007
Abstract

. This study aimed to assess the level of awareness, prevalence and risk factors of needle-stick and sharps injuries (NSSIs) in Tanta University Hospitals, Egypt to develop a well-established preventive strategy. A total of 662 healthcare workers (HCWs), including nurses and physicians, who attended work during the last 6 months of 2019 were included. Data were collected on a structured questionnaire distributed during their working time. . Of 662 participating HCWs, 486 were nurses and 176 were physicians. Good awareness (86.1 and 83.1%) of the participants about safe injection policy and sharp disposal after use was observed. Nurses showed a significantly higher percentage of poor awareness score (79.1%) than physicians (20.9%). NSSIs in our hospitals reached 60.4%. Nurses (67.9%) had higher risk of NSSIs than physicians (39.8%; < 0.001). NSSIs were significantly less likely to occur for HCWs who were aware of safe injection and sharp disposal policies. NSSIs were frequent with specimen collection (16.4%), injections (15.5%) and sharp disposal (14.6%). Only 110 (27.5%) have reported their injuries. . A comprehensive program that addresses institutional, behavioral and device-related factors that contribute to the occurrence of NSSIs and reporting systems is needed.

摘要

本研究旨在评估埃及坦塔大学医院医护人员(HCWs)对针刺和锐器伤(NSSIs)的认知水平、流行率和危险因素,以制定完善的预防策略。共纳入 662 名医护人员,包括护士和医生,他们在 2019 年最后 6 个月期间上班。在工作期间通过问卷调查收集数据。662 名参与调查的 HCWs 中,486 名为护士,176 名为医生。研究观察到,86.1%的护士和 83.1%的医生对安全注射政策和使用后锐器处理有较好的认知。护士表现出明显更高比例的不良认知评分(79.1%),而医生则为 20.9%。我们医院的 NSSIs 发生率为 60.4%。护士(67.9%)发生 NSSIs 的风险高于医生(39.8%;<0.001)。对于了解安全注射和锐器处理政策的医护人员,NSSIs 发生的可能性显著降低。标本采集(16.4%)、注射(15.5%)和锐器处理(14.6%)时发生 NSSIs 的风险更高。仅有 110 人(27.5%)报告了他们的损伤。需要制定一项综合计划,解决导致 NSSIs 发生和报告系统的机构、行为和器械相关因素。

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